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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L('Z 0,j$ Phone Contact for Permitting <br /> Owner's Name 1. r V i I Owner Phone Number <br /> Owner's Address �O (D�3C��,; LPG Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c��j L`�G /vim r S LOT# <br /> SUBDIVISION S�� OLLo�J PARCEL ID# d Z Zla- Z4 —OZ 0-00 - j V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE = SFR Q Comm = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK e e ) A R, A4 e- U, Z•� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBINGqq <br /> $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N _j FEE CURREN LYLLN . <br /> Address License# <br /> 'ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N 'FEE CURREN <br /> Address License# <br /> PLUMBER. . COMPANY- <br /> SIGNATURE REGISTERED LILN FEE CURREN LY/N <br /> Address License# <br /> MECHANICAL / COMPANY fi v.4 ��r J CJp�11 <br /> SIGNATURE'' / `' REGISTERED Y/:N FEE CURB Y/N ' <br /> Addres License# rG}t-19j 3V7 io <br /> 11 OTHER COMPANY. <br /> -SIGNATURE;, REGISTERED . Y/ N FEE CURREN LY,/N <br /> -Address, License# <br /> RESIDENTIAL Attach•(2).Pl6of Plans;(2)setsof Building=Plans;,(1-)'set of'Energy,F,omis;R,O-W'Perr6it.for ngw.construction, <br /> Minimumaen.(•10)working'.days after subrriittal:date. Required onsite;ConStniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&-1.,dumpster;Site Work Permit for subdivisionsAarge projects. <br /> >,COMMERCIAL Attach"(4,domplete sets of Building"Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster._Site Work Permit fog all new projects.All commercial requirements must meet compliance <br /> , ,SIGN PERMIT Attach(2)sets of Engineered Plans:" <br /> ""PROPERTY SURVEY,required for.all NEW construction. <br /> '.".`Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500;a Notice of Commencement Is required. (A(C upgrades over$7500) <br /> " Agent(for the-contiactor)orPower'of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNT_ER'PERMITTING (copy of contract required) <br /> :Reroofs if shingles Sewers Service Upgrades.-A/C •- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,,1needs,ROW <br />